Repair of a posterior ventricular septal rupture after an acute myocardial infarction is a great challenge for cardiac surgeons. The authors describe their surgical technique in this regard, giving special attention to technical maneuvers in order to achieve a successful result.

Jorge Mascaro of Queen Elizabeth Hospital, Birmingham, United Kingdom, discusses the significant challenge of aortic arch replacement and the various approaches a surgeon can take, giving special attention to the Birmingham approach.